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T No. 5.J. 0701 No. ;z 110 7 0 8 <br /> RECEIPT FOR CERTIFIED MAIL RECEIPT FOR CERTIFIED MAIL <br /> NO INSURANCE COVERAGE PROVIOEO— NO INSURANCE COVERAGE PROVOED— <br /> NOT FOR INTERNATIONAL MAIL OT FOR IIIEANATIONAL MALL <br /> (See eve rsel (Sae R e <br /> s Tq� <br /> �1 rt I <br /> STREET AND NO STREET ANO NO <br /> P O.STATE AND ZIP CODE p O.,STATE AND ZIP OODE <br /> POSTAGE f POSTAGE f <br /> rq CERTIFIEDFEE C ,q CERTIREOFEE C <br /> W <br /> L SPECIAL OEINERY C LL SPECIAL DELIVERY 6 <br /> 0 RESTRICTEDDEUVERY C W RESTFICTEDOEINERY 6 <br /> rl <br /> j O O Stan,to 17P. 1AND !O -- <br /> 1. > DATE DELNERFD C C V O DATE ELIVERE AGU C <br /> n u N 16y y¢WL DATE DFLVFIED <br /> y W al AM ACDRESS OF ATE. C I 1 � AM ADDRESS OF pAiE, <br /> m ~ ~ <br /> O 1 O£LIVERY 0O z W DEUVFAY <br /> 6 O IU SRDI'I TO DHOL( NI ADATE 2W SROVI IDYAIOM 0.W 00.1E <br /> G [C DELIVERED IritH RES1R:CIEO C j , ¢ DDIVEREDIVRIIRESTRCIED f <br /> O R DELIVERY O DELIVERY <br /> G Z "S TO VAU:.I,DATE A%D z SRDVI TO KMDN.DATE AND <br /> O � ADDRESS CF DELIVERY Mlli C O ru ADORESSOFDEIIVERYWot C <br /> tt RESTRICTEODEUVERY O R RESTRICTFDDELIVERY <br /> m TOTALPOSTAGEANDFEES f , m TOTAL POSTAGE AND FEES f o D <br /> POSTMARK OR DATE POSTMARK OR DATE <br /> 6 y <br /> _ -- SENDER Cnmplete item: 1. 77, t. ' <br /> y r Add your address in the " a <br /> RETURN TO" space o <br /> SENDER: Complete Items I. :.and 1. 3 re.else. <br /> AM Your address in the "RETURN TO' spate on <br /> 3 reverse. !. The following service is requested (check one). <br /> I. The Following service is requested (check one). o ❑ Show to whom and date delivered. . . .. .. . <br /> . .�� <br /> a Show to whom and date delivered. . . . . .. _ Show to whom,date,and address of delivery. .�Q <br /> ® Show to whom,date,and address of delivery. <br /> RESTRICTED DELIVERY <br /> RESTRICTED DELIVERY Show to whom and date delivered. .. .. . . .. ._¢ <br /> Show to whom and date delivered. .. .. . . .. .?C ❑ RESTRICTED DELIVERY. <br /> RESTRICTED DELIVERY. Show to whom,date.and address of delivery. <br /> Show to whom,date,and address of delivery.f (CONSULT POSTMASTER FOR FEES) <br /> (CONSULT POSTMASTER FOR FEES) 2. ARTICLE ADDRESSED TO: <br /> 2. ARTICLE ADDRESSED TO: n� Paul A. & Lionar Torrez, Jr . <br /> Richard D. 6 Marie A. Dalton = 405 37th Avenue <br /> 5 400 36th Avenue Court m Greeley, Co[ora- <br /> 3or781VED <br /> z n[ <br /> Greeley, Colorado 80631 m <br /> r 3. ARTICLE DESCRIPTION: <br /> m> REGISTERED NO. CERTIFIED NO. INSURED NO. <br /> m 3. ARTICLE DESCRIPTION: QQ <br /> V <br /> REGISTERED NO. CERTIFIED NO. INSURED NO. m rj1D7(113J <br /> n <br /> o I 51 070 1 I -I (always obtain signature at eCOrefeee or agent) <br /> (Always obtain elSnetun of addresses or Rent) n I have reserved th Ad4f.Gle'decttibed' <br /> mm SIGNATURE ,� Add '?SV♦].f `�34tJfJ Sh17f`CBS m I have received the article described above, ? f 4 01 yu+ <br /> m SIGNAT E 1 Q Addres ❑ Aulhorizcd agcnl',. 4 / to FREE <br /> In DATE OF DELIVERY q �Q PO 1S <br /> D , DATE OF ,�LFLa, RY q �Q] RODe MARK > OCT w V EJ !-Qe2 <br /> C VA/. � 11 h//8 'C\�.� p 5. ADDRESS (Complete only it r.po.at v, <br /> 5. ADDRESS (Complete only it rep et ) <br /> n I a <br /> S. UNABLE TO DELIVER BEGUSE: CLERK'S <br /> w O LS <br /> m 6. UNABLE TO DELIVER BECAUSE: K'S ! <br /> o >_ <br /> > TY GM:Im—o-za.-vT <br /> Tt GM 1977�z34-337 <br />